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Year : 2017  |  Volume : 4  |  Issue : 1  |  Page : 18-22

Muscle energy technique compared to eccentric loading exercise in the management of achilles tendinitis: A pilot randomized controlled trial

1 Department of Physiotherapy, Global Hospitals and Health City; Department of Physiotherapy, Sree Balaji College of Physiotherapy, Chennai, Tamil Nadu, India
2 Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
3 Department of Physiotherapy, School of Medicine, College of Health Sciences, and Ayder Comprehensive Specialized Hospital, Mekelle University, Ethiopia
4 Department of Physiotherapy, Sree Balaji College of Physiotherapy, Chennai, Tamil Nadu, India

Correspondence Address:
Hariharasudhan Ravichandran
Department of Physiotherapy, Sree Balaji College of Physiotherapy, Chennai, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAMR.IJAMR_28_16

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Background: Achilles tendinitis is a common overuse injury among both elite and recreational athletes involved in activities such as repetitive jumping and running. Aim: The aim of this single-blinded randomized study was to compare the efficacy of muscle energy technique (MET) and eccentric loading exercise (ELE) interventions on improving functional ability and pain reduction among athletes with Achilles tendinitis. Methods: A single-blinded, pilot, randomized study was conducted in the Department of Physical Therapy, Global Hospitals and Health City, India, with 6-week follow-up. A total of 30 patients with Achilles tendinitis were randomly allocated to receive either MET (n = 15) or ELE (n = 15) treatment. Treatment effects were evaluated by pre- and post-treatment assessment of visual analog scale (VAS) and Victorian Institute of Sports Assessment-Achilles (VISA-A) questionnaire. Measures were performed by single-blinded evaluators at baseline and at 2, 4, and after 6 weeks of treatment. Results: Both groups showed a significant difference in VAS after 6 weeks' ELE group showed a significant improvement during treatment at 2 and 4 weeks in comparison with MET group. The VISA-A scale score significantly improved in both groups. Yet, comparison of VISA scores between groups showed marginally significant difference (P = 0.012). Conclusion: This pilot randomized controlled trial (RCT) showed the efficacy of ELE in reducing pain and improving functional ability among patients with Achilles tendinitis. The findings of this study provide the rationale for undertaking a large-scale RCT. A large sized trial is needed to establish evidence for clinical practice of ELE in Achilles tendinitis cases.

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